RETINOPATHY OF PREMATURITY - PREVALENCE AND TREATMENT OVER A 20 YEAR PERIOD AT PENNSYLVANIA-HOSPITAL

被引:4
|
作者
JOHNSON, LH
QUINN, GE
ABBASI, S
BOWEN, FW
机构
[1] UNIV PENN, SCH MED, DEPT OPHTHALMOL, PHILADELPHIA, PA 19107 USA
[2] UNIV PENN, SCH MED, DEPT PEDIAT, PHILADELPHIA, PA 19107 USA
关键词
perinatal care; pharmacologic; physiologic; retinopathy of prematurity; survival rates; vitamin E;
D O I
10.1007/BF02482611
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
This paper presents the results of a 20 year survey of ROP among ≤ 2000 g BW infants cared for at Pennsylvania Hospital. It relates changes in perinatal care and nutrition, survival rates, and serial serum E levels with incidence and severity of ROP. It includes our protocol for monitoring E nutrition so as to optimize its effectiveness at physiologic serum levels for prophylaxis for ROP. Also presented are the promising results of our experience with vitamin E at pharmacologic serum levels as a treatment for severe ROP (defined as in the Cryo ROP Trial). These indicate the need for a multicenter trial to assess the effect of pharmacologic Vitamin E therapy as an alternative or supplement to therapy of severe ROP with laser or cryo surgery. © 1990 Kluwer Academic Publishers.
引用
收藏
页码:213 / 222
页数:10
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